How is lung cancer caused?

Written by Gong Chun
Oncology
Updated on September 01, 2024
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The specific causes of lung cancer are not completely clear, but there are some high-risk factors. Research has shown that lung cancer is influenced by a combination of genetic defects and internal and external environmental carcinogens. It is undeniable that long-term heavy smoking is the most important carcinogenic factor for lung cancer, with the amount and duration of smoking being positively correlated with the incidence of lung cancer. Secondly, environmental factors, such as working with asbestos or in mining areas, are also very relevant to the incidence of lung cancer. Thirdly, irregular eating habits, rest, alcohol consumption, indoor combustion, coal smoke, fumes from kitchen cooking, and carcinogenic substances released from indoor decorations and materials are also related. Fourthly, the body's internal immune status, metabolic abnormalities, genetic factors, and chronic lung infections also have a significant impact.

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Symptoms of malignant transformation of chronic obstructive pulmonary disease

Firstly, cancer transformation is not the main complication of chronic obstructive pulmonary disease (COPD), but both COPD and lung cancer share a common cause, which is smoking. Therefore, COPD and lung cancer are generally considered two different diseases, and the symptoms of COPD combined with lung cancer are mainly those of lung cancer, typically including irritating dry cough, blood-streaked sputum, weight loss, etc. Thus, lung imaging studies can be used to preliminarily determine the possibility of cancer in patients, and further diagnostic steps can be chosen based on the patient’s imaging and related symptoms, including biopsy, bronchoscopy, etc.

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What should I do if lung cancer causes coughing up blood?

Lung cancer refers to a condition where, due to genetic mutations in human cells, cells grow disorderly or wildly, forming a solid mass-like lesion primarily known as lung cancer. Due to the uneven growth of lung cancer, local necrosis can occur, leading to bleeding, making coughing up blood a very common clinical manifestation in lung cancer. The severity of coughing up blood is classified into mild, moderate, and severe. Generally, if a single instance of coughing up blood is less than five milliliters, it can be managed with Yunnan Baiyao. However, if the amount exceeds 100 milliliters, it is advisable to seek medical attention promptly to prevent life-threatening risks from massive hemoptysis. (The use of medications should be under the guidance of a doctor.)

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Does shoulder pain mean lung cancer?

The most common cause of shoulder pain is chronic strain of the ligaments and muscles in the shoulder, not lung cancer. Lung cancer accounts for only a small portion of the reasons. If a patient has lung cancer, it can spread to the shoulder, or the lung cancer itself can produce a type of referred pain, which can cause shoulder pain. To determine the cause, it is necessary to go to the hospital for an X-ray of the shoulder joint or a plain chest film, as well as an MRI of the shoulder joint, to clarify the cause of the shoulder pain. If the pain is solely due to the muscles or ligaments in the shoulder, it can be relieved through conservative treatments such as massage, acupuncture, electrotherapy, and magnetotherapy.

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What should I do about dry cough and wheezing caused by lung cancer?

Patients with lung cancer presenting with dry cough and wheezing often require treatment to suppress coughing, alleviate wheezing, and address the symptoms. It is also important to check if the patient has concurrent obstructive pneumonia. Lung cancer combined with obstructive pneumonia can also lead to dry cough and wheezing. In such cases, anti-infection treatment is needed, along with treatment specifically targeting lung cancer itself. Dry cough and wheezing in lung cancer often suggest that the cancer may be in the middle to late stages, where the chances of surgery are generally small. However, it is still necessary to complete relevant examinations to further assess the condition. If the patient is eligible for surgery, surgical treatment should be considered. If the patient is indeed in the middle to late stages of lung cancer and is not suitable for surgery, chemotherapeutic drugs are needed for treatment. Sometimes, targeted drugs can be chosen for treating advanced-stage non-small cell lung cancer. In cases of advanced non-small cell lung cancer with driver gene mutations, targeted therapy might even be the preferred treatment option.

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Small cell lung cancer and non-small cell lung cancer differences

Small cell lung cancer and non-small cell lung cancer are both types of primary bronchogenic carcinoma, differing only in their cellular morphology. They also differ in clinical symptoms and characteristics of metastasis. Small cell lung cancer is more prone to metastasis clinically, including strenuous and distant spread, such as to the brain and liver. The medications used for each are also different; small cell lung cancer typically involves chemotherapy drugs like etoposide and cisplatin, whereas non-small cell lung cancer commonly uses drugs like paclitaxel and platinum-based drugs.